Klawans H L
Department of Neurological Sciences, Rush-Presbyterian St. Lukes Medical Center, Chicago, IL 60612.
Can J Neurol Sci. 1987 Aug;14(3 Suppl):536-40. doi: 10.1017/s0317167100038075.
A variety of neurotransmitters have been implicated in the pathophysiology of chorea as exemplified by Huntington's chorea. These include dopamine, serotonin, acetylcholine, GABA and a variety of neuropeptides including substance P and somatostatin. Despite biochemical data that suggests that alterations in other neurotransmitters may be of greater significance, pharmacologic data still supports a major role of dopamine in the actual clinical manifestation of chorea.
多种神经递质已被认为与舞蹈病的病理生理学有关,亨廷顿舞蹈病就是一个例证。这些神经递质包括多巴胺、血清素、乙酰胆碱、γ-氨基丁酸以及多种神经肽,包括P物质和生长抑素。尽管生化数据表明其他神经递质的改变可能具有更重要的意义,但药理学数据仍然支持多巴胺在舞蹈病实际临床表现中起主要作用。